An Evaluation Index System of Basic Elderly Care Services Based on the Perspective of Accessibility

Area of Science:

• Gerontology
• Public Health
• Health Services Research

Background:

• Global population aging necessitates increased demand for elderly care services.
• Existing evaluation frameworks require enhancement to address the complexities of elderly care provision.
• The
• 5A
• framework provides a theoretical basis for assessing service accessibility.

Purpose of the Study:

• To establish a comprehensive evaluation index system for basic elderly care services.
• To introduce and operationalize the concept of
• accessibility
• within elderly care service evaluation.
• To provide a quantitative foundation for improving the quality and accessibility of elderly care.

Main Methods:

• Literature review and field research to inform the evaluation framework.
• Expert correspondence across three rounds to refine indicators.
• Analytic Hierarchy Process (AHP) for determining indicator weights.

Main Results:

• Developed a three-level evaluation index system with 3 first-level, 15 second-level, and 70 third-level indicators.
• The system quantifies the accessibility of home-based, institutional, and administrative elderly care services.
• Identified key areas for policy intervention based on quantitative evaluation.

Conclusions:

• The developed index system offers a quantitative basis for evaluating and improving basic elderly care services.
• Policy recommendations focus on strengthening resources, improving affordability, expanding institutional services, and enhancing administrative accessibility.
• Effective communication mechanisms between service providers and administrative agencies are crucial for service improvement.